20th Medgrp-Shaw
20th Medgrp-Shaw is a healthcare organization registered as Military/U.S. Coast Guard Outpatient Clinic/Center in Shaw Afb, SC, holding Type 2 (organization) NPI 1336112440 since 2006. The authorized official on file is Jen Lewandowski, Dha Ubo.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1336112440 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | 20th Medgrp-Shaw |
| Parent organization | 20th Medgrp-Shaw |
| Practice address | 431 MEADOWLARK ST, Shaw Afb, SC, 29152 |
| Phone | 8038956526 |
| Fax | 8038956419 |
| Enumeration date | 2006-02-09 |
| Last updated in NPPES | 2025-06-17 |
Authorized official
| Name | Jen Lewandowski |
|---|---|
| Title | Dha Ubo |
| Phone | 7038174030 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QM1101X | Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center | Secondary | — | — |
| 332000000X | Military/U.S. Coast Guard Pharmacy | Secondary | — | — |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4222903 | Other | SC | NCPDP |
Copy-ready billing details
Provider: 20th Medgrp-Shaw NPI: 1336112440 Taxonomy: 261QM1100X (Military/U.S. Coast Guard Outpatient Clinic/Center) Address: 431 MEADOWLARK ST, Shaw Afb, SC, 29152
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1629063706 | Gilbert Narro | Individual | Optometrist | Shaw A F B, SC |
| 1568458685 | Robert Burgess | Individual | Physical Therapist | Shaw A F B, SC |
| 1053309203 | Tammy Tenace | Individual | Women's Health Nurse Practitioner | Shaw A F B, SC |
| 1598753485 | James Labarre | Individual | Pharmacist | Shaw A F B, SC |
| 1699751800 | Margaret Carey | Individual | Pediatric Nurse Practitioner | Shaw A F B, SC |
| 1316916935 | Elaine Alexa | Individual | Clinical Social Worker | Shaw A F B, SC |
| 1215964721 | Sarah Barnhart | Individual | Medical Physician Assistant | Shaw A F B, SC |
| 1881786879 | Daniel Blaz | Individual | Family Nurse Practitioner | Shaw Afb, SC |
Verify this record
Cross-check NPI 1336112440 against the authoritative CMS record: view 20th Medgrp-Shaw on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is 20th Medgrp-Shaw located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-17.